Heather Lauren Ellis
NPI #1063195519 in Montclair, California
Provider Information
- NPI Number
- 1063195519
- Entity Type
- Individual
- Name
- Heather Lauren Ellis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 10, 2023
- Last Updated
- Aug 10, 2023
Practice Location
- Address
- 4950 SAN BERNARDINO ST STE 101
- City
- Montclair
- State
- California
- ZIP Code
- 91763-2328
- Phone
- (800) 249-1266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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